• 1

    Durlacher L: A Treatise on Corns, Bunions, the Disease of Nail and the General Management of the Feet, p 52, Simkin, Marshall, London. ,1845. .

    • PubMed
    • Export Citation
  • 2

    Morton TG: A peculiar and painful affection of the fourth metatarsophalangeal articulation. .J Am Med Sci 71::35. ,1876. .

  • 3

    Goldman F: Intermetatarsal neuroma: light microscopic observations. .JAPA 69::317. ,1979. .

  • 4

    Goldman F: Intermetatarsal neuromas: light and electron microscopic observations. .JAPA 70::265. ,1980. .

  • 5

    Milgram JE: “Morton’s Neuritis and Management of Post Neurectomy Pain,” in Management of Peripheral Nerve Problems, ed by GE Omer, M Spinner, WB Saunders, Philadelphia. ,1980. .

    • PubMed
    • Export Citation
  • 6

    Friscia DA, Strom DE, Parr JW, et al: Surgical treatment for primary interdigital neuroma. .Orthopedics 14::669. ,1991. .

  • 7

    Nunan PJ, Giesy B: Management of Morton’s neuroma in athletes. .Clin Podiatr Med Surg 14::489. ,1997. .

  • 8

    Levitsky KA, Alman BA, Jevsevar DS, et al: Digital nerves of the foot: anatomic variations and implications regarding the pathogenesis of interdigital neuroma. .Foot Ankle 4::208. ,1993. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Root ML, Orien WP, Weed JH (eds): Normal and Abnormal Function of the Foot, Clinical Biomechanics Corp, Los Angeles. ,1977. .

    • PubMed
    • Export Citation
  • 10

    Hoadley AE: Six cases of metatarsalgia. .Chicago Med Rec 5::32. ,1893. .

  • 11

    Nissen KI: Plantar digital neuritis, Morton’s neuralgia. .J Bone Joint Surg Br 30::84. ,1948. .

  • 12

    Betts LO: Morton’s metatarsalgia, neuritis of the fourth digital nerve. .Med J Aust 1::514. ,1940. .

  • 13

    Graham CE, Graham DM: Morton’s neuroma: a microscopic analysis of the interdigital neuroma. .Foot Ankle 5::150. ,1984. .

  • 14

    Shereff MJ, Grande DA: Electron microscopic analysis of the interdigital neuroma. .Clin Orthop 271::296. ,1991. .

  • 15

    Dellon AL: Treatment of recurrent metatarsalgia by neuroma resection and muscle implantation: case report and proposed algorithm of management for Morton’s “neuroma.”. Microsurgery 10::256. ,1989. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Gauthier G: Thomas Morton’s disease: a nerve entrapment syndrome: a new surgical technique. .Clin Orthop 142::90. ,1979. .

  • 17

    Youngswick FD: Intermetatarsal neuroma. .Clin Podiatr Med Surg 11::579. ,1994. .

  • 18

    Barrett S, Pignetti T: Endoscopic decompression for intermetatarsal nerve entrapment: the EDIN technique: preliminary study with cadaveric specimens; early clinical results. .J Foot Ankle Surg 33::503. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Keh RA, Odom R, Ballew K, et al: Long-term follow-up of Morton’s neuroma. .J Foot Ankle Surg 31::93. ,1992. .

  • 20

    Shapiro SL: Endoscopic decompression of the intermetatarsal nerve for Morton’s neuroma. .Foot Ankle Clin 9::297. ,2004. .

  • 21

    Vito GR, Talarico LM: A modified technique for Morton’s neuroma: decompression with relocation. .JAPMA 93::190. ,2003. .

Endoscopic Decompression of Intermetatarsal Nerve Entrapment

A Retrospective Study

Stephen L. Barrett Arizona Podiatric Medicine Program, College of Health Sciences, Midwestern University, Glendale, AZ.

Search for other papers by Stephen L. Barrett in
Current site
Google Scholar
PubMed
Close
 DPM, MBA
and
Amy S. Walsh Houston Podiatric Foundation, Kingwood, TX.

Search for other papers by Amy S. Walsh in
Current site
Google Scholar
PubMed
Close
 DPM

Sixty-nine patients who had 96 interspaces decompressed were retrospectively reviewed to assess the efficacy of the endoscopic decompression of the intermetatarsal nerve procedure. Cases were evaluated between October 1, 1993, and December 31, 1999. Of the 69 patients, 14 were men and 55 were women, and their average age was 50.6 years. Of the 96 interspaces released, 39 were second interspaces and 57 were third interspaces. Nine interspaces were lost to follow-up. There were 75 interspaces with excellent or good results (86%) and 12 with poor results (14%). Of the interspaces with poor results, five required further surgery. Those five interspaces, in five patients, were treated with traditional neurectomy. The other patients, accounting for seven interspaces, who classified their result as poor declined any further surgery. Evaluation of these cases was by means of medical chart review only, where the patient’s success or failure was based on the patient’s subjective assessment. None of the patients who underwent decompression developed a true amputation neuroma. (J Am Podiatr Med Assoc 96(1): 19–23, 2006)

Corresponding author: Stephen L. Barrett, DPM, MBA, Arizona Podiatric Medicine Program, College of Health Sciences, Midwestern University, 19555 N 59th Ave, Glendale, AZ 85308.
Save